Community Partner Request Form

Required fields are highlighted with .

Organization/Agency Name

Primary Contact Person First Name

Primary Contact Person Last Name

Primary Contact Person Title

Secondary Contact Person First Name

Secondary Contact Person Last Name

Secondary Contact Person Title

Primary Phone
() -

Primary Phone Type

Secondary Phone
() -

Secondary Phone Type

E-mail address (if used regularly)

Mailing Address

City

State/Province

ZIP or Postal Code

Service Experience Type

Best time/way for students to contact you:

Describe UPCOMING and/or New tasks/projects that student volunteers are needed to work on. If possible, indicate the number of volunteers needed or any special skills required.

What kind of support are you hoping to receive from the Concordia University Office of Service Leadership as a result of your Community Partner Request?

What is one thing students are likely to learn by working on these projects with your organization? (For example: Students will learn about the social and economic factors that contribute to homelessness.)

What is another thing students are likely to learn by working on these projects with your organization?

What is a third thing students are likely to learn by working on these projects with your organization?

This is a new partner/agency agreement or is a resubmission caused by significant changes to the agency such that it should be redefined in Concordia University data. Checking the box displays more questions.

Questions? Problems with this form? Contact the Office of Service Leadership at osl@cu-portland.edu.

Concordia University, Portland

Office of Service Leadership

Community Partner Request Form